Area of Expertise: Aging and Older Adults

The 2026 Kentucky Medicaid Crosswalk provides a comprehensive analysis of how Kentucky’s Medicaid program aligns with evidence-based supportive housing services. Developed in partnership with the Kentucky Housing Corporation, the report examines current policies—including the 1915(i) RISE program—alongside provider insights and national best practices to identify strengths, gaps, and opportunities for improvement. It explores how Medicaid-funded services can better support people experiencing homelessness or housing instability, highlights the critical role of cross-sector coordination, and offers actionable recommendations to expand access to stable housing, improve health outcomes, and strengthen system efficiency across Kentucky.

Supportive housing providers are encountering a significant demographic shift as the population of older adults, particularly those aged 50 and above with histories of homelessness, continues to grow. This “graying” of the tenant base presents unique challenges and necessitates adapted approaches to care. Aging adults who have experienced homelessness often face complex health issues, including chronic illnesses and geriatric conditions, significantly earlier than the general population. Additionally, older adults in supportive housing often face distinct mental health needs and potential accessibility barriers. The average life expectancy is notably lower, which further highlights the unique challenges that this group faces.

In response to these needs, this toolkit is designed to equip service and housing providers in New York with best practices solicited from providers across the state.

The purpose of the CSH Supportive Housing Services Staffing and Budget Tool is to support agencies, communities, and project planners to estimate comprehensive costs for supportive housing services. The tool uses a template that includes built-in assumptions around best practice for four staffing models: Assertive Community Treatment (ACT), Intensive Case Management (ICM), Tenancy Support Services (TSS), and Critical Time Intervention (CTI). Each of these models is well-researched and has a strong evidence base for efficacy with supportive housing tenants across a variety of constituencies. The tool allows the user to model out scattered site and project-based programs and input their average staffing costs, budget assumptions, and productivity expectations to determine rates needed by agencies for a fiscally sustainable program.

Last updated: August 2025

New York City is facing a homelessness crisis, with more than 140,000 people experiencing homelessness, including many in migrant shelters. Supportive housing is an evidence-based best practice that has been proven to reduce homelessness and interactions with crisis systems while helping individuals and communities to thrive.

This landscape assessment discusses challenges and gaps in addressing the needs of New Yorkers with high acuity health needs. It also presents recommendations for effective interventions and promising models.

This report outlines the need and opportunity to develop effective, aging-centric, supportive housing models to help older New Yorkers age safely and with dignity in communities of their choice.

Supportive housing—affordable housing paired with support services—has long been a critical part of NYC’s housing and services ecosystem and is well-suited to help older adults thrive. However, existing models are not equipped to meet New Yorkers’ evolving needs as they age, resulting in unnecessary hospitalizations, premature nursing home admissions, stigma against behavioral health conditions for those who do need nursing home care, and overreliance on crisis systems to fill in the gaps.

This resource contains key recommendations for city and state leaders to enhance supportive housing for older adults. Not only will these changes save lives by ensuring older adults have a safe place to live with services appropriate to their needs, but they will also yield savings in New York City and New York State budgets.

To proactively think through realistic solutions in closing the gap in the supportive housing need for older adults in New Jersey, CSH developed an Advocacy Agenda in collaboration with stakeholders representing local and state, nonprofit and government perspectives.

The following four workgroups met throughout 2021 to brainstorm ideas to guide the state in the critical coordination, funding and policy changes needed to expand supportive housing for the ageing population. The influx of federal and state dollars, the unique Medicaid proposals for the state’s 1115 waiver, and Home and Community Based Services (HCBS) set new standards within the national conversation. This is the moment for New Jersey to think big on supporting aging residents who need a combination of affordable housing and services to stay in their community and age in place. This Advocacy Agenda is the road map to guide New Jersey in this effort.

Workgroups that developed the Advocacy Agenda

• Maintaining Capital Funding
• Expanding Service Dollars / Eligibility 
• Strengthening the Workforce 
• Addressing Not In My Backyard (NIMBYism)

This paper published with the generous support from The Harry and Jeanette Weinberg Foundation shares critical information about the Home and Community Based Services (HCBS) program and how it can boost ‘services’ in supportive housing. HCBS services help individuals live comfortably in their own homes, despite challenges commonly faced by people with disabilities and all of us as we age. HCBS will be an essential supplementary resource to help supportive housing tenants thrive in their community at all ages.

The number of older adults in New Jersey is steadily growing, yet the demand for affordable, accessible housing and services far outpaces the supply. Our report, “Assessing New Jersey’s Need for Supportive Housing for an Aging Population,” examines how many additional units of supportive housing the state currently needs to meet the demand. It also highlights the demographics of those in need of supportive housing, and the specific needs of each population.

A Renters Guide for Successful Apartment Living

This guide is for anyone who will be renting an apartment for the first time. The information here is intended to make the transition to this new lifestyle easier. In this guide book you will find helpful tips on apartment living like housekeeping issues, keys to a successful relationship with your landlord and other resources.